Durand Yoann, Bruyère Clémence, Saglini Marco, Michel-Traverso Aurélien
Department of Orthopaedics and Traumatology Surgery, Riviera-Chablais Hospital, Monthey, Switzerland.
Department of Radiology, University Hospital Geneva (HUG), Geneva, Switzerland.
Case Rep Orthop. 2018 Jul 16;2018:7268032. doi: 10.1155/2018/7268032. eCollection 2018.
We report the case of a 15-year-old boy brought to the emergency department after a bike accident, complaining of an isolated left hip pain. The X-rays showed an obturator hip dislocation treated by closed reduction under general anaesthesia, followed by 6 weeks of discharge. The follow-up MRI performed 6 weeks after the trauma showed an avascular femoral head necrosis, for which we performed multiple retrograde femoral head drilling, completed by the injection of autologue stem cells from the iliaq crest. One year later, the patient has no hip pain, no joint limitation, and can practice BMX at a high level again. The purpose of this report is to make the physicians aware of this rare problem that may be damaging for hip function, especially in young people.
我们报告一例15岁男孩，在自行车事故后被送往急诊科，主诉单纯左髋疼痛。X线显示闭孔型髋关节脱位，在全身麻醉下进行了闭合复位，随后出院6周。创伤后6周进行的随访MRI显示股骨头缺血性坏死，为此我们进行了多次逆行股骨头钻孔，并通过注射来自髂嵴的自体干细胞进行补充治疗。一年后，患者无髋部疼痛，无关节活动受限，可再次高水平地进行小轮车运动。本报告的目的是让医生意识到这个可能对髋关节功能有损害的罕见问题，尤其是在年轻人中。
